WHY CHOOSE MIKLOS & MOORE UROGYNECOLOGY TO SOLVE YOUR PELVIC MESH COMPLICATIONS?

Dr. Miklos is a highly experienced and skilled surgeon who specializes in the treatment of mesh complications. He has removed more than 1,000 pieces of mesh and has been removing mesh since 1994. Few surgeons in the world can make this claim. Dr. Miklos has a patient-centered approach to care and listens to the patient’s point of view which is not always supported by the scientific literature. He has removed mesh on patients who were previously evaluated and even had surgeries by surgeons at: Cleveland Clinic, Mayo Clinic, Duke University, Harvard, Vanderbilt, Emory University… He takes the time to thoroughly evaluate each patient’s unique situation and develop a personalized treatment plan. He makes recommendations but allows each patient to make the final decision as to the surgery and technique. He truly believes that he makes the patient an informed consumer so she can ultimately make the right decision to minimize or stop the pain and suffering. Overall, choosing Dr. Miklos for your mesh complication surgery can provide you with the expert care and support you need to achieve the best possible outcome.

Dr. Miklos has:

EXPERIENCE – Dr. Miklos has extensive experience treating virtually every type of transvaginal mesh complication, including complex cases involving pain, erosion, exposure, organ involvement, and patients who have undergone previous unsuccessful attempts at mesh removal. His surgical experience is also reflected in the medical literature. In one of the largest U.S. published series on transvaginal mesh removal, 506 pieces of mesh were removed over a 3.5-year period, with Dr. Miklos responsible for removing approximately 400 of the 506 pieces. (Figure 1)

However, surgical experience is only half the battle. Making the correct diagnosis and determining whether mesh is actually contributing to a patient’s symptoms can be equally important. This requires experience as well. Dr. Miklos believes that listening carefully to the patient is one of the most important parts of making the correct diagnosis. Some patients with mesh complications have symptoms that are difficult to explain or have previously been attributed to other causes. Identifying the potential relationship between the patient’s symptoms and her mesh allows Dr. Miklos to develop an appropriate surgical plan and determine whether partial or complete mesh removal should be considered.

EXPERTISE – They have treated patients from all over the world for mesh complications.  They have produced award-winning videos which have gotten them international acclaim for their mesh-removing technique. Dr. Miklos has taught and given mesh lectures around the world including: Australia, North America, South America, Europe and Africa.

KNOWLEDGE – Dr. Miklos is a Rule 26 medical legal expert. He is considered an expert in the treatment of patients with mesh complications. He understand the science behind using mesh for prolapse and urine incontinence using mesh as well as an expert in the treatment of mesh complications. He is also considered a leader in the world on the surgical treatment of mesh complications as he has authored or coauthored 2 of the largest papers on mesh complications found in the worldwide literature.

RESULTS – Miklos & Moore Urogynecology have addressed and removed some of the most difficult transvaginal mesh devices made and inserted in the human body.  Though no one can guarantee the success rate for fixing the patient’s symptoms, Dr Miklos can usually remove >95% of the mesh load > 90% of the time.  He can totally remove the complete mesh most of the time if the patient so desires or it is medically indicated.

Here at Miklos & Moore Urogynecology, we have removed mesh from inside the urethra, bladder, rectum, and small bowel. We have repaired fistulas due to the mesh in the bladder, urethra, and rectum as well as sinus tracts in the vagina, elevator ani muscle, ischia rectal fossa (ie. an area of the buttocks cheek. Dr Miklos has removed as many as 3 mesh slings in one patient and 4 mesh devices in another patient during one operation. (FIGURE 2) He has removed full length i.e., total TVT slings (FIGURE 3) and (VIDEO 1), full length i.e., total TOT slings (FIGURE 4), and full i.e., total sacral colpopexy (FIGURE 5), and (VIDEO 2).  In selected cases, Dr Miklos can also offer reconstructive surgery to repair further prolapse or incontinence after the mesh removal.

RECOVERY TIME AFTER PELVIC MESH REMOVAL SURGERY?

Recovery time after pelvic mesh removal surgery depends on several factors, including the amount of mesh removed, the location of the mesh, the complexity of the removal, and whether reconstructive surgery is performed at the same time. In general, when a patient undergoes mesh removal alone without additional reconstructive surgery, she may be able to return to normal physical activity in approximately 6 weeks.

When mesh removal is combined with reconstructive surgery, the recovery period may extend to approximately 12 weeks. This does not mean that the patient will experience pain or significant discomfort for the entire 12-week period. Rather, the additional recovery time allows the reconstructed tissues to heal properly and develop adequate scar tissue before the patient resumes unrestricted physical activity. Drs. Miklos and Moore provide each patient with individualized postoperative instructions based on the type and extent of mesh removal and any reconstructive procedures performed.